Dr. Alastair Younger, MB, Ch.B, M.Sc, Ch.M, F.R.C.S.(C), Orthopaedic Foot and Ankle Surgeon, discusses arthroscopic surgery of the foot and ankle.
Loading the player...Arthroscopic Foot and Ankle Surgery Dr. Alastair Younger, MB, Ch.B, M.Sc, Ch.M, F.R.C.S.(C), Orthopaedic Foot and Ankle Surgeon, discusses arthroscopic surgery of the foot and ankle.
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Featuring Dr. Alastair Younger, MB, Ch.B, M.Sc, Ch.M, F.R.C.S.(C), Orthopaedic Foot and Ankle Surgeon
Duration: 2 minutes, 27 seconds
Video Title:Arthroscopic Foot and Ankle Surgery
The arthroscope has been around for a long time, and it’s been used successfully in the shoulder and the knee for many years.
And it’s an instrument that allows surgeons to see inside the joint and project an image onto a TV screen so they can see what they're doing, and they get a much better view of the joint on the TV screen than they’d ever get trying to look in the joint after making a large incision and looking through retractors holding the skin and soft tissue apart.
The arthroscope gives good detail, but has the added benefit that during the surgery the dissection is kept to a minimum so that the swelling and pain that occurs after the operation is much less. The arthroscope, therefore, has a lot of benefits in the foot because the foot is the part of you that is lowest down and therefore gets the most amount of blood pressure if you're standing up.
And so keeping the cuts or incisions during the surgery down to the very minimum is very helpful in reducing wound complications as well as swelling and pain after a foot and ankle operation.So the arthroscope has been introduced into a number of joints in the foot, and in particular it’s used now for the ankle joint to allow us to see within the joint and treat conditions within the joint.
But there are other joints around the ankle now that are fairly routinely scoped, such as the subtalar joint or the big toe or the metatarsophalangeal joint. The big toe joint can be approached through two small cuts on the top side, and injuries to the cartilage surface or arthritis or boney protuberances on the top of the joint or splitting of the little bones underneath the joint can be seen and treated through the scope with less swelling and less pain.
There are other joints that might be beneficial to scope but they’re hard to get to, such as these very tight joints in the middle of the foot that are hard to see at the current time. So there are many exciting developments in foot and ankle in the use of the arthroscope that’s getting miniaturized in time, and you might want to consider talking to your family doctor to see if you need to see an orthopaedic surgeon to see if this type of technology might be beneficial for you and the foot and ankle pain that you suffer.
Local Practitioners: Orthopaedic Surgeon
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